Bacterial meningitis, hood meningitis, convexity meningitis, leptomeningitis, meningococcal meningitis, antibiotic
Medical: purulent meningitis
English: meningitis, encephalitis, brain inflammation, brain-fever
The term purulent meningitis (purulent meningitis) describes a purulent inflammation (-itis) of the meninges and spinal cord membranes (meninges), which can be triggered by different pathogens.
Purulent meningitis (purulent meningitis) is usually caused by bacteria. It is associated with a high fever and severe general clinical picture such as clouding of consciousness and represents an absolute emergency that must be treated immediately.
General information on "What is meningitis?" can be found under our topic:
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The therapy of purulent meningitis is usually carried out first, if the pathogen is not known, against the suspected / most likely pathogen and after microbiological detection of the bacterium (this takes a few days until the bacterium can be grown and determined) and an antibiogram (resistance test of the Germ against various antibiotics).
The dosages mentioned are examples that can be treated differently in individual cases.
Despite all the care taken, the drugs mentioned below can contain errors in the dosage or other types of content.
Never change the dosage or antibiotic without consulting your doctor. This can permanently damage your health.
Penicillin G (G = intravenous, i.v.) 4x / day 6-10 mega or
Ampicillin 3x / day 5 g i.v. or
$config[ads_text2] not foundCephalosporin (Ceftriaxone, Cefotaxime) 3x / day 2 g i.v.
Penicillin G (if sensitive): 4x / day 6-10 mega or
Cephalosporin (Ceftriaxone, Cefotaxime): 3x / day 2 g i.v. or
Ampicillin: 3x / day 5 g i.v.
Meropenem: 3x / day 2 g i.v.
Cephalosporin plus Vancomycin 3x / day 2 g i.v. 2 g / day every 6 - 12 hours
Cephalosporin plus Rifampicin 3x / day 2 g i.v.
Cephalosporin (Ceftriaxone, Cefotaxime) 3x / day 2 g i.v.
alternatively
Ampicillin plus chloramphenicol 3x / day 5 g i.v.
Ampicillin plus gentamycin 3x / day 5 g i.v. or
Trimethoprim-sulfamethoxazole 1x / day 360 mg IV, max. 6 mg / kg or
Meropenem 3x / day 2 g i.v. or
Co-trimoxazole 2x / day 960 mg i.v.
Flucloxacillin 4 - 6x / day 2 g i.v.
alternatively
Vancomycin 2g / day i.v. (every 6 - 12 hours 0.5 - 1 g) or
Fosfomycin 3x / day 5 g i.v. or
Rifampicin 1x / day 10 mg / kg IV, max. 600/750 mg or
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Cefazolin 3 - 4x / day 2 - 3 g i.v. (max. 12 g / day)
Vancomycin 2g / day i.v. (every 6 - 12 h 0.5 - 1 g) or
Rifampicin 1x / day 10 mg / kg IV, max. 600/750 mg or
Trimethoprim-sulfamethoxazole or
Fosfomycin 3x / day 5 g i.v.
Ceftazidime plus aminoglycoside 3x / day 2 g i.v. or
Meropenem plus aminoglycoside 3x / day 2 g i.v. or
$config[ads_text2] not foundCefepime plus aminoglycoside 3x / day 2 g i.v. or
Ciprofloxacin 3x / day 400 mg i.v.
Metronidazole 2 - 4x / day 500 mg (max. 2 g / day)
Meropenem 3x / day 2 g i.v.
Penicillin G plus gentamicin 4x / day 6-10 mega 1x / day 360 mg i.v. or
Ampicillin plus gentamycin 3x / day 5 g i.v. 1x / day 360 mg i.v. or
Ceftriaxone plus gentamicin 3x / day 2 g i.v. 1x / day 360 mg i.v. or
Vancomycin 2g / day i.v. (every 6 - 12 h 0.5 - 1 g)
Ceftriaxone plus aminoglycoside 3x / day 2 g i.v.
Meropenem plus aminoglycoside 3x / day 2 g i.v.
Poeck / Hacke: Neurologie, 12th edition, 2006 were used as sources.
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